Expansion ring for a braided stent

ABSTRACT

A method, including assembling a plurality of expansion rings to a lumen of the braided stent body, the lumen of the braided stent body being formed by a plurality of braided members, each expansion ring comprising a frame defined by a plurality of interconnected support assemblies comprising a plurality of legs joined at a first intersection and connected to one of the other interconnected support assemblies at a second intersection opposite the first intersection, the legs being twistable about the first and second intersections; and a claw portion disposed opposite the first and second intersections.

CROSS-REFERENCE

This application is a Divisional of U.S. Ser. No. 16/234,270, filed Dec.27, 2018, which is a Divisional of U.S. Ser. No. 15/299,918, filed Oct.21, 2016, now granted U.S. Pat. No. 10,182,927, the entirety eachincorporated herein by reference.

FIELD

The present disclosure relates generally to treatment of certain defectsin a vasculature of a patient and more particularly, to self-expandingbraided stents to a treatment site in a vasculature of a patient.

BACKGROUND

Stents are understood as tubular reinforcements that can be insertedinto a blood vessel to provide an open path within the blood vessel.Stents have been widely used in intravascular angioplasty treatment ofoccluded cardiac arteries, wherein the stent may be inserted after anangioplasty procedure to prevent restenosis of the artery. Stents areoften deployed by use of delivery devices which cause the stent to openwith the objective of reinforcing the artery wall and provide a clearthrough-path in the artery thereby preventing restenosis.

However, the weakness and non-linear nature of the neurovasculaturelimits the applicability of such stents in procedures, for example, inrepairing neurovascular defects. Furthermore, known delivery methods areless useful in vasoocclusive surgery, particularly when tiny vessels,such as those found in the brain, are to be treated. Accordingly, a needexists for a stent that can be used with delivery techniques invasoocclusive treatment of neurovascular defects that provides selectivereinforcement in the vicinity of the neurovascular defect. A need alsoexist for a stent that reduces trauma or risk of rupture to the bloodvessel. It is with respect to these and other considerations that thevarious embodiments described below are presented.

SUMMARY

In some aspects, the present disclosure relates to a braided stentsystem for delivery into a blood vessel is disclosed. They system mayinclude a stent body having a lumen formed by a plurality of braidedmembers with interstices formed therebetween. An expansion ring may bemechanically connected to the lumen of the stent body and be operable tomaintain the expansion ring in an opened state by having its frameimpart an outwardly expanding radial force to the stent body. The framemay include plurality of legs joined at a first intersection and a clawportion mechanically connected to one or more of the interstices of thestent body. The claw portion may mechanically connect the expansion ringto one or more of the interstices by extending away from the firstintersection through a plurality of the interstices and terminating at alocking mechanism opposite the first intersection.

In certain embodiments, the claw portion may include at least twoaligned elongate members that extend between the first intersection andthe locking mechanism to form a void therebetween. One or a plurality ofthe interstices may pass through the void as the claw portionmechanically connects the expansion ring to the stent body. Theplurality of legs of the frame may also be bowed and/or oriented in anon-linear configuration causing the frame to be resistant tocompression so that the braided stent system is self-expanding. The legsmay be rotatable, pivotable, and/or twistable a predetermined amountabout the first intersection.

In other embodiments, a braided stent system is disclosed having a stentbody having a lumen formed by a plurality of braided members withinterstices formed therebetween and a first expansion ring connected tothe lumen of the stent body. The first expansion ring may include aframe defined by a plurality of interconnected support assemblies thatare selectively positioned to impart an outwardly expanding radial forceto the stent body, each support assembly can include a plurality of legsjoined at a first intersection and connected to one of the otherinterconnected support assemblies at a second intersection opposite thefirst intersection. Each support assembly can also include a clawportion mechanically connected to one or more of the interstices of thestent body.

The plurality of legs of the frame may be bowed and/or oriented in anon-linear configuration causing the frame to be resistant tocompression so that the braided stent system is self-expanding. The legsmay be rotatable, pivotable, and/or twistable a predetermined amountabout the first intersection.

The claw portion may also mechanically connect the expansion ring toinner and outer portions of the lumen by extending away from the firstintersection, being interlaced through at least two of the interstices,and being terminated at a locking mechanism opposite the intersections.The locking mechanism may include a T-shaped end or outwardly extendinghooked members operable to fixedly connect to the interstices of thestent body. The solution is not so limited, however, and at least one ofthe claw portions may include a plurality of aligned elongate membersthat extend between respective first intersections and lockingmechanisms to form a void through which the plurality of interstices canpass.

In an example embodiment, one or a plurality of braided pairs of thebraided members can pass through the void. The locking mechanism mayalso fixedly connect the expansion ring to the stent body by joiningends of the aligned elongate members opposite the first intersectionthrough welding, soldering, crimping, or an adhesive bond. The solutionis not so limiting, however, and the locking mechanism may fixedlyconnect the expansion ring to the stent body by joining ends of thealigned elongate members opposite the first intersection through afastener such as a metallic band and/or ring. Additionally, at least oneof the first and/or second intersections can form a V-shape, a U-shape,or an elliptical curve.

In another example embodiment, the stent body can include a proximalend, a distal end, and a central portion disposed therebetween. Thefirst expansion ring can be disposed on or adjacent the distal orproximal ends of the stent body with the second intersections of theinterconnected support assemblies being joined at or adjacent therespective distal or proximal ends. One or more additional expansionrings can also be connected to the lumen along or in connection with thecentral portion of the stent body and/or the opposing, distal orproximal end of the stent body.

A method of deploying a braided stent body into a vessel is alsodisclosed, the method comprising the following steps: assembling aplurality of expansion rings to a lumen of the braided stent body, thelumen of the braided stent body being formed by a plurality of braidedmembers with interstices formed therebetween; selectively positioningeach expansion ring with the braided stent body; each expansion ringimparting an outwardly expanding radial force thereby maintaining thelumen of the braided stent body in an opened position, each expansionring comprising: a frame defined by a plurality of interconnectedsupport assemblies comprising a plurality of legs joined at a firstintersection and connected to one of the other interconnected supportassemblies at a second intersection opposite the first intersection, thelegs being twistable about the first and second intersections; and aclaw portion disposed opposite the first and second intersections;mechanically connecting the claw portion of each ring to an innerportion of the stent body by interlacing a first elongate memberextended between the respective claw portion and the respective firstintersection of the expansion ring with one or more of the intersticesand terminated at a locking mechanism opposite the intersections; andtranslating the braided members in the vessel independently from eachexpansion ring.

Since at least one of the claw portions can include a second alignmentmember substantially aligned with the first elongate member and extendedbetween respective first intersections and locking mechanisms, themethod can also include forming a void between the first and secondelongate members and respective first intersections and lockingmechanisms; and passing one or a plurality of braided pairs of thebraided members through the void. The method may also include fixedlyconnecting the expansion ring to the stent body by joining ends of thefirst and second elongate members opposite the first intersectionthrough welding, soldering, crimping, an adhesive bond, and/or afastener.

Other aspects and features of the present disclosure will becomeapparent to those of ordinary skill in the art, upon reviewing thefollowing detailed description in conjunction with the accompanyingfigures.

BRIEF DESCRIPTION OF THE DRAWINGS

Reference will now be made to the accompanying drawings, which are notnecessarily drawn to scale.

FIG. 1 depicts a side plan view of one embodiment of the hereindisclosed expansion ring assembled at an end of a tubular braided stentbody.

FIG. 2 depicts is another view of one embodiment of the herein disclosedexpansion ring assembled with a tubular braided stent body.

FIG. 3 is a close-up view of plane A-A of FIG. 2 showing certainfeatures of the expansion ring assembled with the tubular braided stentbody.

FIG. 4A is a side plan view of certain features of an exemplaryexpansion ring having support assemblies.

FIG. 4B is a side plan view of certain features of an exemplaryexpansion ring having support assemblies.

FIG. 4C is a side plan view of certain features of an exemplaryexpansion ring having support assemblies.

FIG. 5A is a perspective of an exemplary expansion ring with multipleclaws prior to being assembled with a tubular braided stent body.

FIG. 5B is forward plan view of an example prototype of the exemplaryexpansion ring of FIG. 5A when assembled with a tubular braided stentbody showing its inner lumen in a compressed state at a cross-section ofthe tubular braided stent body aft of the claw.

FIG. 5C is a forward plan view of the exemplary expansion ring of FIG.5B when assembled with a tubular braided stent body showing its innerlumen in a compressed state at a cross-section of the claw.

FIG. 6 depicts a side plan view of exemplary expansion rings havingmultiple claws when assembled at respective proximal and distal ends ofa tubular braided stent body.

FIG. 7 is a close-up view of plane B-B of FIG. 6 showing certainfeatures of one of the depicted expansion rings weaved throughinterstices of the tubular braided stent body with a fixed attachment.

FIG. 8 depicts a side plan view of exemplary expansion rings havingmultiple claws when assembled at proximal and distal ends of a tubularbraided stent body as well as at least one expansion ring placed alongthe body between the distal and proximal ends.

FIG. 9A depicts a side plan view of an exemplary expansion ringassembled with a tubular stent body, wherein a claw of the expansionring is being secured using a single braid wire pair of the tubularstent body.

FIG. 9B depicts a side plan view of an exemplary expansion ringassembled with a tubular stent body, wherein a claw of the expansionring is being secured using two braided wire pairs of the tubular stentbody.

FIG. 9C depicts a side plan view of an exemplary expansion ringassembled with a tubular stent body, wherein a claw of the expansionring is being secured using three braided wire pairs of the tubularstent body.

FIG. 10A depicts a close up side plan view of an exemplary expansionring assembled with a tubular stent body depicting certain features ofthe expansion ring entering and exiting braids of the tubular stent bodyin a first arrangement.

FIG. 10B depicts a close up side plan view of an exemplary expansionring assembled with a tubular stent body depicting certain features ofthe expansion ring entering and exiting braids of the tubular stent bodyin a second arrangement.

FIG. 10C depicts a close up side plan view of an exemplary expansionring assembled with a tubular stent body depicting certain features ofthe expansion ring entering and exiting braids of the tubular stent bodyin a third arrangement.

FIG. 11A depicts a close up side plan view of an exemplary expansionring assembled with a tubular stent body depicting an embodiment havingT-shaped endings.

FIG. 11B depicts a close up side plan view of an exemplary expansionring assembled with a tubular stent body depicting an embodiment havinghook-shaped endings.

FIG. 12A depicts a side plan view an example prototype of one examplering assembled with a tubular stent body along a longitudinal crosssection of a claw assembled with the tubular stent body.

FIG. 12B depicts a side plan view of an example prototype of one examplering assembled with a tubular stent body along a longitudinal crosssection of a claw assembled with the tubular stent body.

DETAILED DESCRIPTION

Although example embodiments of the disclosed technology are explainedin detail herein, it is to be understood that other embodiments arecontemplated. Accordingly, it is not intended that the disclosedtechnology be limited in its scope to the details of construction andarrangement of components set forth in the following description orillustrated in the drawings. The disclosed technology is capable ofother embodiments and of being practiced or carried out in various ways.

It must also be noted that, as used in the specification and theappended claims, the singular forms “a,” “an” and “the” include pluralreferents unless the context clearly dictates otherwise. By “comprising”or “containing” or “including” it is meant that at least the namedcompound, element, particle, or method step is present in thecomposition or article or method, but does not exclude the presence ofother compounds, materials, particles, method steps, even if the othersuch compounds, material, particles, method steps have the same functionas what is named.

In describing example embodiments, terminology will be resorted to forthe sake of clarity. It is intended that each term contemplates itsbroadest meaning as understood by those skilled in the art and includesall technical equivalents that operate in a similar manner to accomplisha similar purpose. It is also to be understood that the mention of oneor more steps of a method does not preclude the presence of additionalmethod steps or intervening method steps between those steps expresslyidentified. Steps of a method may be performed in a different order thanthose described herein without departing from the scope of the disclosedtechnology. Similarly, it is also to be understood that the mention ofone or more components in a device or system does not preclude thepresence of additional components or intervening components betweenthose components expressly identified.

As discussed herein, vasculature of a “subject” or “patient” may bevasculature of a human or any animal. It should be appreciated that ananimal may be a variety of any applicable type, including, but notlimited thereto, mammal, veterinarian animal, livestock animal or pettype animal, etc. As an example, the animal may be a laboratory animalspecifically selected to have certain characteristics similar to a human(e.g., rat, dog, pig, monkey, or the like). It should be appreciatedthat the subject may be any applicable human patient, for example.

Braided stents may be formed from a plurality of elongate members (e.g.metal wires, polymeric fibers, or strands of material) and these memberscan be very useful in treatment of neurovascular defects. However, whensuch braided members are intended to be self-expanding in a lumen of astent body, known manners of activation of the initially expanding endstruggle to adequately, reliably, and fully open so that the initiallyexpanding end can be used as an anchor point. Moreover, braided stentshave been known to exhibit high internal friction that resists theinherent radial expansion force of the self-expanding braided stent whenbeing deployed to an opened state. More specifically, the relativelyhigh internal friction can render it difficult to open the initiallyexpanding end of the stent which results in deficiencies in anchoringand deployment. This is particularly true for braided stents deliveredto the desired vessel location through use of a delivery sheath,microcatheter, or the like, since in a closed state (e.g. compressed orcrimped) the stent body typically exhibits friction between the braidedmembers and the delivery sheath or microcatheter.

In practice, braided stents can be delivered to a particular vessel byadvancing a blunt surface against a proximal end of the braided stentcausing the braided stent to axially compress and expand radially. Thisexpansion within the delivery sheath or microcatheter can result in anincreased normal force being applied to the inner surface of thedelivery sheath, microcatheter, or the like thereby also increasingfriction caused by the braided stent.

Known solutions to these issues have depended on factors such asmaterial, size, cell design, internal friction, and extra manipulationby the end-user to reliably, quickly and adequately open the braidedstents. In turn, success of the braided stent relied heavily on end-useraccuracy in delivery which unnecessarily increases risk of injury to thepatient.

Moreover, such braided, self-expanding stents can be difficult torecapture after being delivered and/or deployed. It is to be understoodthat a “self-expanding” stent is a stent wherein the particular stentfully deploys upon emerging through a delivery device such as a sheath,microcatheter, or the like. In this respect, when a self-expanding stentbody emerges, unrestrained outside of the respective delivery device,the self-expanding braided stent should expand and be deployed in thevasculature. However, due to the referenced radial forces and friction,stent deployment and recapture following deployment is difficult.

The herein disclosed expansion ring 1 resolves these and other issues byproviding a secure, mechanical attachment between ring 1 and thecorresponding, braided stent body 12 that increases an outwardlyextending radial expansion force of an initial proximal deployment end 6of body 12, an opposing distal end 8 of body 12, and/or a centralportion defined between each end 6 and 8. Instead, ring 1 includes oneor a plurality of interconnected support assemblies 10 that collectivelycause the ring to fully anchor itself with the lumen 20 of body 12 bymechanically securing a claw 17 of each assembly 10 to be interlacedwith the braided, elongate members 22 of body 12. As a result, the totalinternal friction of body 12 is reduced and members 22 can move body 12independent from ring 1 as discussed more particularly below. Assemblingone or more multiple rings 1 with body 12 results in relatively easydelivery without the need for accurate positioning of ring 1 with body12. In turn, deployment of the body 12 within the vasculature is morereliable with reduced risk of injury for the end-user.

In the following description, references are made to the accompanyingdrawings that form a part hereof and that show, by way of illustration,specific embodiments or examples. In referring to the drawings, likenumerals represent like elements throughout the several figures. Turningto FIGS. 1 and 2, a side plan view of the herein disclosed ring 1 andcorresponding support assemblies 10 is shown disposed at a proximal end6 of body 12 which may be the later deployed end. FIG. 1 is a close upview of one embodiment of ring 1 when assembled with body 12 whereasFIG. 2 shows more of body 12 when an exemplary ring 1 is assembled withbody 12. It is to be understood that body 12 may also include a distalend 8 (also known as an initially-deployed end) opposite its proximalend 6 as seen more clearly in FIG. 6, and ring 1 may be mechanicallyconnected at distal end 8 and/or disposed at any positioned between ends6 and 8.

As can be seen, body 12 of FIGS. 1 and 2 may be formed from a pluralityof elongate members 22 braided or otherwise arranged to form a pluralityof interstices 24. Members 22 may be formed from two or more metalwires, or polymeric fibers or strands of material. Ring 1 may beconstructed from one or multiple interconnect support assemblies 10 thattogether form a frame of ring 1 that is capable of imparting one or moreadditive radial forces to an inner wall and/or an outer wall of lumen20. In this regard, ring 1 may be selectively positioned and arrangedfor rapidly opening and/or maintaining body 12 in an opened positionwithout having to weld, solder, glue, or otherwise connect ring 1 tobody 12 itself.

Turning to FIG. 3 is a close up view of plane A-A of FIG. 2 more clearlyshowing an exemplary claw 17 of one assembly 10 interlaced with theinterstices 24 and braided, elongate members 22. As can be seen,assembly 10 may include a first leg 28 joined with a second leg 30 at afirst intersection 31. While legs 28 and 30 are seen integrally formedwith each other in FIG. 3, each assembly 10 is not so limited and legs28 and 30 may be removably attached to each other through a fastenerincluding a band, bolt, clamp, coupling, dowel, hook, latch, key, or thelike. Legs 28 and 30 may also be adhered to each other or welded to formintersection 31. Additionally, if one or more fasteners are used in aparticular implementation, they can be removably connected or welded,soldered, and/or crimped. Fasteners and/or legs 28 and 30 can be formedof a radiopaque metal, such as platinum or tantalum, or may be formed ofa non-radiopaque material, such as stainless steel.

By adding claw 17 to the end of a crown of each assembly 10, each ring 1is allowed to interlace with body 12 without a permanent or rigidattachment to body 12 such as welding, soldering or a chemical adhesive.Once the claw 17 is effectively interlaced and connected with the body12 and the desired location, braided members 22 can also moveindependently from ring 1 which removes the adverse impact that apermanent or rigid attachment previously had on body 12 to fully expandwhen assembled with an expansion ring.

Intersection 31 may also include a rotatable and/or twistable couplingso that each assembly 10 of ring 1 is capable of flexing a predeterminedamount when body 12 and ring 1 is in use. One or more elongate members18 may extend from intersection 31 and terminate at a locking mechanism40 opposite intersection 31 and legs 28 and 30. In the embodiment ofFIG. 3, a plurality of elongate members 18 are shown substantiallyaligned and offset from each other while being joined at mechanism 40 toform a void 5 therebetween.

In order to mechanically attach to body 12, each claw 17 may haverespective members passed through and/or interlaced with interstices 24and members 22 and then joined at mechanism 40. In this regard, one ormore multiple braided pairs 26 of members 22 may be arranged in or inconnection with void 5 so that claw 17 may be mechanically attached toinner and outer portions of lumen 20. Mechanism 40 of FIG. 3 may beformed from a weld, crimp, band, clamp, or adhesive so that each ofmembers 18 are fixedly attached to each other.

Turning to FIGS. 4A through 4C are depictions of rings 1 having multipleassemblies 10 though any number of assemblies 10 could be used as neededor required depending on need or preference. FIG. 4A specificallydepicts two interconnected support assemblies 10 interconnected at asecond intersection 32 with leg 28 extended therefrom towardsintersection 31. FIG. 4B similarly depicts three interconnectedassemblies 10 and FIG. 4C depicts four interconnected assemblies 10. Itis to be understood assemblies 10 may be integrally formed with eachother at intersection 32 or may be joined together using any of theherein described fasteners. It is to be understood that each assembly 10can be a compression element capable of flexing a predetermined amountsuch that FIG. 4A depicts two compression elements, FIG. 4B depictsthree compression elements, and FIG. 4C depicts four compressionelements. In this respect, ring 1 with corresponding compressionelements can move between a compressed configuration before deploymentwithin the vasculature as well as a deployed configuration with a lumen20 having a greater diameter than the compressed configuration.Additionally, legs 28 and 30 of each assembly 10 at intersections 31and/or 32 may be formed as a V-shape as shown in FIGS. 4A through 4Cwith acute and/or oblique angles formed between legs 28 and 30.Optionally, instead of being V-shaped, legs 28 and 30 of each assembly10 can be formed as “U” shaped, elliptical shaped, curved generally,loop or bight at the junction portion.

Turning to FIG. 5A is a perspective view of exemplary ring 1 with aplurality of interconnected assemblies 10. While each assembly 10 may beV-shaped as in FIGS. 4A-4C, FIG. 5A depicts how each assembly 10 may bearranged in a bowed orientation. In this regard, legs 28 and/or 30 mayinclude a curved or arched portion that bows with a predeterminedresistance to compression. It is to be understood that each assembly 10of ring 1 may have the same or a different resistance so that each ring1 can be individualized for the specific vasculature implementation.FIG. 5B is a forward plan view of an example prototype of ring 1 of FIG.5A when assembled with body 12 in a compressed state at a cross sectionof body 12 aft of claw 17 to show each of legs 28 and 30 and lumen 20 ofbody 12. A delivery mechanism 150 is depicted in lumen 20 forpositioning and assembling each ring 1 with the inner and outer surfacesof body 20. Similarly, FIG. 5C a forward plan view of ring 1 of FIG. 5Bwhen assembled with body 12 showing its inner lumen 20 in a compressedstate at a cross-section of claw 17 with example delivery mechanism 50.As can be seen, in a compressed state each ring 1 is operable toassemble with inner and outer surfaces of body 12 while also providingoutward expanding radial forces to the stent body to counter theinwardly applied compression in the compressed state.

Each assembly 10 and its constituent features may be formed of asuperelastic material, such as a nickel-titanium alloy or Nitinol, ormay be formed of a non-superelastic material, such as spring steel orMP35N, an alloy of 35% nickel, 35% cobalt, 20% chromium, and 10%molybdenum, by weight. Legs 28 and 30 of each assembly 10 may also beformed from a shape memory material having a shape memory position inthe opened state.

Turning to FIG. 6, a side plan view of rings 1 being assembled at bothends 6 and 8 of body 12 is shown. It can be seen that claw 17 of eachassembly 10 is oriented to mechanically connect with braided members 22of body 12 whereas opposing intersections 32 of each assembly 10 is incommunication with ends 6 and 8, respectively. It also to be understoodthat intersection 32 of each assembly 10 formed from joined legs 28 and30 may be mechanically connected to one or more members 22 andinterstices 24 similar to claw 17. In this regard, legs 28 and 30 atintersection 32 do not need to directly attach to body 12, for example,by being welded or fastened directly to body 12 itself Instead, similarto intersection 31, legs 28 and/or 30 can be directly joined together bybeing passed through one or more interstices 24 and interlaced withassociated members 22, be joined together, and extend back towardsrespective intersections 31.

FIG. 7 depicts a close-up view of plane B-B of FIG. 6 depicting anexemplary claw 17 interlaced with members 22 and interstices 24. Morespecifically, legs 28 and 30 can be seen being joined together atintersection 31 with each of legs 28 and 30 disposed within lumen 20.After being joined at intersection 31, claw 17 may have a plurality ofsubstantially aligned elongate members 18 that extend from intersection31 towards mechanism 40 to form void 5. Mechanism 40 may include any ofthe previously described fasteners that join each of members 18 togetheror may be a weld, crimp, chemical adhesive, or the like. It can also beseen that two braided pairs 26 of members 22 pass through void 5 and aretherefore interlaced with inner and outer portions of lumen 20 andmembers 24 of body 12. However, the herein disclosed solution is not solimiting and as shown in FIGS. 9A-9C, each member 18 and correspondingvoid 5 of claw 17 can be weaved with members 22 in a variety of ways.For example, only one braided pair 26 can interlaced with members 18 andvoid 5 of claw 17 (FIG. 9A), two braided pairs 26 can interlace withmembers 18 and void 5 of claw 17 (FIG. 9B), and/or three braided pairs26 can interlace with members 18 and void 5 of claw 17 (FIG. 9C).Members 18 of FIGS. 9A-9C may enter and exit braided pairs 26 at thesame location along braided body 12.

FIG. 8 similarly depicts a side plan view of rings 1 being selectivelypositioned at ends 6 and 8 as well as ring 1 being disposed between ends6 and 8 along a central portion of body 12. It is to be understood thatthe embodiment of FIG. 8 is not intended to be limiting and any numberof rings 1 can be included between ends 6 and 8.

Turning to FIGS. 10A-10C, additional exemplary side plan views ring 1assembled with body 12 are shown. Specifically, in FIG. 10A threebraided pairs 26 are shown interlaced with void 5 and associated members18, wherein portions of claw 17 are shown exiting and enteringrespective braided pairs 26 when claw 17 interlaces with braided body 12and mechanically attaches thereto. In contrast, claws 17 of FIGS. 10Band 10C enter and exit at different locations of members 22 andinterstices 24 than of FIG. 10A even when three braided pairs 26 are incommunication with void 5.

Alternative claw designs are also contemplated for use with assemblies10 of ring 1. For example, in FIG. 11A, it can be seen that claw 17 acan include only a single elongate member 18 a extended fromintersection 31 a and terminating in a T-shaped locking mechanism 40 a.In this embodiment, claw 17 a can interlace with a braided pair 26 overintersection 31 a, extend to an outer portion of body 12 untilterminating in a T-shaped member of mechanism 40 that can interlace withmultiple interstices 24 of body 12 to mechanically connect claw 17 a tobody 12. In another alternative embodiment of FIG. 11B, claw 17 b can beseen with a plurality of elongate members 18 b extended betweenintersection 31 b and hooked-end locking mechanism 40 b. Either or bothof members 18 b may interlace with members 22 and one or a plurality ofbraided pairs 26 and terminate in a hooked member of mechanism 40 b. Thehooked member of mechanism 40 b may have an upwardly extended hookedportion operable to mechanically secure each member 18 b to a braidedpair 26. Both of mechanisms 40 a and 40 b may be used in place ofwelding, an adhesive, crimping, or a fastener of the previouslydisclosed mechanisms 40.

Turning to FIGS. 12A and 12B, each figure depicts side plan viewsprototypes of example claws 17 when assembled with body 12 along alongitudinal cross section of claw 17. As shown in each of FIGS. 12A and12B, mechanism 150 and corresponding bump 152 can position member 18 andcorresponding gap 5 with one or more members 22 and/or pairs 26. FIGS.12A and 12B are not intended to be limiting and claw 17 and/or itsconstituent features may be assembled with body 12 with or withoutmechanism 150 as needed or desired.

The specific configurations, choice of materials and the size and shapeof various elements can be varied according to particular designspecifications or constraints requiring a system or method constructedaccording to the principles of the disclosed technology. Such changesare intended to be embraced within the scope of the disclosedtechnology. The presently disclosed embodiments, therefore, areconsidered in all respects to be illustrative and not restrictive. Itwill therefore be apparent from the foregoing that while particularforms of the disclosure have been illustrated and described, variousmodifications can be made without departing from the spirit and scope ofthe disclosure and all changes that come within the meaning and range ofequivalents thereof are intended to be embraced therein.

What is claimed is:
 1. A method, comprising: assembling a plurality ofexpansion rings to a lumen of a braided stent body, the lumen of thebraided stent body being formed by a plurality of braided members, eachexpansion ring comprising a frame defined by a plurality ofinterconnected support assemblies comprising a plurality of legs joinedat a first intersection and connected to one of the other interconnectedsupport assemblies at a second intersection opposite the firstintersection, the legs being twistable about the first and secondintersections; and a claw portion disposed opposite the first and secondintersections; connecting the claw portion of each expansion ring to aninner portion of the braided stent body by interlacing a first elongatemember extended between the respective claw portion and the respectivefirst intersection of the expansion ring with one or more of theinterstices and terminated at a locking mechanism opposite theintersections, the claw portion comprising a second alignment membersubstantially aligned with the first elongate member and extendedbetween respective first intersections and locking mechanisms; forming avoid between the first and second elongate members and respective firstintersections and locking mechanisms; and securing at least one braidedpair of the braided members through the void.
 2. The method of claim 1,further comprising: securing the plurality of expansion rings to thebraided members by positioning at least two braided pairs through thevoid.
 3. The method of claim 1, further comprising: entering and exitingthe at least one braided pair into and out of the void.
 4. The method ofclaim 1, further comprising: securing the plurality of expansion ringsto the braided members by positioning at least three braided pairsthrough the void.
 5. The method of claim 1, further comprising:connecting at least one of the expansion rings to a distal or a proximalend of the braided stent body.
 6. The method of claim 5, furthercomprising: connecting at least one of the expansion rings to the end ofthe braided stent body opposite the distal or proximal end of thebraided stent body.
 7. The method of claim 1, the locking mechanismcomprises a T-shaped end, the method further comprising connecting theT-shaped end with the interstices of the braided stent body.
 8. Themethod of claim 1, the locking mechanism comprises outwardly extendinghooked members, the method further comprising connecting the outwardlyextending hooked members with the interstices of the braided stent body.9. The method of claim 1, further comprising: translating the braidedmembers in the vessel independently from each expansion ring.
 10. Themethod of claim 1, further comprising: bowing the legs of each expansionring causing each ring to be resistant to compression.
 11. The method ofclaim 1, further comprising: connecting the expansion ring to thebraided stent body by joining ends of the first and second elongatemembers opposite the first intersection by welding, soldering, crimping,or an adhesive bond.
 12. The method of claim 1, further comprising:imparting, by the plurality of expansion rings, an outwardly expandingradial force thereby maintaining the lumen of the braided stent body inan opened position.
 13. The method of claim 1, further comprising:forming, by the first intersection, a V-shape, a U-shape, or anelliptical curve.
 14. The method of claim 1, further comprising: joiningends elongate members opposite the first intersection through a metallicband.
 15. A method, comprising: assembling an expansion ring to a lumenof a braided stent body, the lumen of the braided stent body beingformed by a plurality of braided members, the expansion ring comprisinga frame defined by a plurality of interconnected support assembliescomprising a plurality of legs joined at a first intersection andconnected to one of the other interconnected support assemblies at asecond intersection opposite the first intersection, the legs beingtwistable about the first and second intersections; and a claw portiondisposed opposite the first and second intersections; connecting theclaw portion of the expansion ring to an inner portion of the braidedstent body by interlacing a first elongate member extended between therespective claw portion and the respective first intersection of theexpansion ring with one or more of the interstices and terminated at alocking mechanism opposite the intersections, the claw portioncomprising a second alignment member substantially aligned with thefirst elongate member and extended between respective firstintersections and locking mechanisms; and securing at least one braidedpair of the braided members in a void between the first and secondelongate members and respective intersections.
 16. The method of claim15, the locking mechanism comprises a T-shaped end, the method furthercomprising connecting the T-shaped end with the interstices of thebraided stent body.
 17. The method of claim 15, the locking mechanismcomprises outwardly extending hooked members, the method furthercomprising connecting the outwardly extending hooked members with theinterstices of the braided stent body.
 18. The method of claim 15,further comprising: securing the expansion ring to the braided membersby positioning at least two braided pairs in the void.
 19. The method ofclaim 15, further comprising: entering and exiting the at least onebraided pair into and out of the void.
 20. The method of claim 15,further comprising: translating the braided members in the vesselindependently from the expansion ring.